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Corporate Functions & Operations WellCare - Coding & Records Careers

Coding Analysis - Manager Job

Full Job Title: Manager, Coding Analysis

Job Number: 1805209

Location: Tampa, FL

Date Posted: 2018-07-31

Location: Idlewild Ave, Tampa, FL 33634
Department: Operations - Payment Integrity
Reports to: Sr. Manager, Coding Integrity

Manage activities within the Claims Coding/Pre-Pay department. Build strong relationships with key functional areas. Responsible for all performance results of the Department.

Essential Functions:
  • Manages the business analysis, quality testing, implementation and production support efforts for all WellCare claims editing projects.
  • Responsible for all testing deliverables, ensuring business requirements documentation and test plans are designed to meet the business needs.
  • Responsible for the performance management processes for direct reports including coaching, counseling, providing feedback, career planning, goal setting, and performance assessment.
  • Manages process improvement initiatives, seeking root cause and developing appropriate corrective action.
  • Establishes objectives, goals and performance measures for the function being managed.
  • Coordinates activities to ensure key deliverables are met and resolves conflicting demands.
  • Serves as primary contact for complex coding issues.
  • Assists in developing short range plans for overall departmental activities.
  • Oversees the implementation of programs and strategies.
  • Acts in liaison capacity with other areas and business units.
  • May make recommendations on matters of policy and approve changes in area of expertise.
  • Performs other duties as assigned.
    Candidate Education:
    • Required: High School diploma or GED
    • Preferred: Bachelor's Degree in a related field
    Candidate Experience:
    • Required: 5 years of experience in analytics; including claims processing/coding and/or testing
    • Required: 2 years of experience in a management, supervisory or lead role
    • Required: 2 years of experience in project lifecycles
    • Preferred: 1 years of experience in Healthcare
    Candidate Skills:
    • Demonstrated interpersonal/verbal communication skills
    • Demonstrated analytical skills
    • Demonstrated written communication skills
    • Ability to drive multiple projects
    • Ability to work in a fast paced environment with changing priorities
    • Demonstrated organizational skills
    • Demonstrated project management skills
      Technical Skills:
      • Microsoft Access
      • Microsoft PowerPoint
      • Microsoft Excel
      • Microsoft Outlook
      • Microsoft Visio
      • Knowledge of one or more of the following: SQL, Xcelys, CES, iHT
      • Medical Billing and Coding
      • Claim reimbursement methodologies

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        Last Updated On: 12/9/2015